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Because patients with known or CMR-based significant valvular abnormality other than MR were excluded, and echocardiographic data that was available in 67% of controls and 54% of MVP patients demonstrated right ventricular systolic pressures of 28 [2131] mmHg and 26 [1930] mmHg, respectively (data not shown), we speculate that tricuspid regurgitation or pulmonary hypertension do not explain these findings

Study conducted at the Hospital do Servidor Pblico Municipal de So Paulo, So Paulo, SP, Brazil.